Sports Medicine (Miller Pathophys)

Question 1

Spear-tackler’s spine

Answer 1

loss of lordosis, stenosis in cspine

Question 2

Stinger symptoms & cause

Answer 2

burning in arm - C5

Question 3

Common level of C-spine fx

Answer 3

C5-6, then C4-5 and C6-7 last

Question 4

pain down leg, neuro sx

Answer 4

ruptured lumbar disc

Question 5

empty can test

Answer 5

supraspinatus

Question 6

shoulder instability

Answer 6

dislocation

Question 7

shoulder instability direction most common

Answer 7

anterior

Question 8

OCD capitellum

Answer 8

unclear etiology, excessive axial loading 10-15 yrs

Question 9

10-15 yo male gymnist with dull, poorly localized elbow pain aggravated with use, relieved with rest, catching/locking elbow

Answer 9

OCD capitellum

Question 10

OCD capitellum tx

Answer 10

limit activity, RICE
PT
Arthroscopic excision of loose body
abrasion chondroplasty

Question 11

biceps tendon rupture

Answer 11

popeye sign

Question 12

Ulanr collateral ligament

Answer 12

tenderness inner side of elbow when throwing. Repairable Tommy John procedure

Question 13

scaphoid fx

Answer 13

most common in wrist - vascular osteonecrosis

Question 14

boxer’s fracture

Answer 14

4th MC

Question 15

PIP dislocation

Answer 15

popped back & taped

Question 16

jersey finger

Answer 16

flexor tendon injury

Question 17

mallet finger

Answer 17

sudden force on fingertip - bent at DIP

Question 18

Most common sites for pelvic avulsion fx

Answer 18

ASIS, AIIS, IT

Question 19

pelvic avulsion fx tx

Answer 19

nonop - rest, activity limitation, rehab

Op - reattach tendon

Question 20

groin pain, clicking/snapping of hip, limited motion

Answer 20

hip labral tear

Question 21

cam lesion

Answer 21

on femoral head

Question 22

pincer lesion

Answer 22

acetabular

Question 23

ACL injury - % & relation

Answer 23

80% sports

Question 24

ACL 70% caused by

Answer 24

noncontact deceleration, jumping, cutting

Question 25

ACL pathomnemonic

Answer 25

heard a pop (70%) hemarthrosis

Question 26

ACL injury risk factors

Answer 26

Female | 2-4x basketball, soccer, rugby, volleyboll

Question 27

Lachman test

Answer 27

95% positive for ACL | increased excursion relative to opposite knee

Question 28

MCL/LCL ratio

Answer 28

more MCL

Question 29

MCL/LCL injury tx

Answer 29

usually nonoperative

Question 30

knee dislocation - big deal?

Answer 30

yes, 86% amputation >8hrs if popliteal artery injury

Question 31

3 types of 5th met fx

Answer 31

pseudo jones avulsion at proximal 5th met jones fx across diaphysis stress

Question 32

axial load on mets of foot (blow from behind)

Answer 32

lisfranc injury

Question 33

achilles tendon tear age

Answer 33

30-40 yo

Question 34

thompson test

Answer 34

squeeze gastroc & look for foot motion